The flag was coined by Tumblr user beyond-mogai-pride-flags on or before August 3, 2017, along with [[AFAB Hypogonadism|AFAB hypogonadism]].<ref>https://beyond-mogai-pride-flags.tumblr.com/post/163776551080/hypogonadism-intersex-pride-flags</ref> It has no confirmed meaning.<ref>{{Archive|URL=2022.02.12-085658/https://www.deviantart.com/pride-flags/art/Hypogonadism-AMAB-Testicular-748737745}}</ref>